NYL GBS Survivor Assurance Disclosure Notice State Insurance Department Contact Information Alabama Alaska Arizona Arkansas California PO Box 303351 PO Box 110805 100 N. 15th Ave, Suite 261 1 Commerce Way, Bldg 4, Suite 502 300 South Spring Street, 14th Floor Montgomery, AL 36130 Juneau, AK 99811 Phoenix, AZ 85007-2630 Little Rock, AR 72202 South Tower (334) 269-3550 (907) 465-2515 (602) 364-3100 (800) 282-9134 Los Angeles, CA 90013 www.aldoi.gov https://www.commerce.alaska.gov/web/ins/ https://insurance.az.gov www.insurance.arkansas.gov (800) 927-4357 www.insurance.ca.gov Colorado Connecticut Delaware District of Columbia Florida 1560 Broadway, Suite 850 153 Market Street, 7th Floor Delaware Dept of Insurance 1050 First Street, NE, Suite 801 The Edwin A. Larson Building Denver, CO 80202 Hartford, CT 06103 1351 W. North Street, Suite 101 Washington, DC 20002 200 East Gaines Street, RM 1001A (800) 930-3745 (800) 203-3447 Dover, DE 19004 (202) 727-8000 Tallahassee, FL 32399 https://doi.colorado.gov/ www.ct.gov/cid/site/default.asp (800) 282-8611 http://disb.dc.gov (877) 693-5236 http://insurance.delaware.gov www.floir.com Georgia Hawaii Idaho Illinois Indiana Office of Insurance and PO Box 3614 700 West State Street 122 S. Michigan Avenue, 19th Floor 311 W Washington Street Safety Fire Commissioner Honolulu, HI 96811 PO Box 83720 Chicago, Illinois 60603 STE 103 Two Martin Luther King, Jr. Drive (808) 586-2790 Boise, ID 83720 (312) 814-2420 Indianapolis, IN 46204 West Tower, Suite 704, Floyd Bldg. https://cca.hawaii.gov/ins/ (208) 334-4250 https://insurance.illinois.gov/ (317) 232-2385 Atlanta, Georgia 30334 www.doi.idaho.gov https://www.in.gov/idoi (800) 656-2298 https://oci.georgia.gov Iowa Kansas Kentucky Louisiana Maine 1963 Bell Avenue, Suite 100 1300 SW Arrowhead Road 500 Mero Street, 2 SE11 PO Box 94214 34 State House Station Des Moines, Iowa 50315 Topeka, Kansas 66604 Frankfort, KY 40601 Baton Rouge, Louisiana 70802 Augusta, ME 04333 (515) 654-6600 (800) 432-2484 (800) 595-6053 (800) 259-5300 (800) 300-5000 www.iid.state.ia.us https://insurance.kansas.gov https://insurance.ky.gov/ https://ldi.la.gov https://www.maine.gov/pfr/insurance/home Maryland Massachusetts Michigan Minnesota Mississippi 200 St. Paul Place, Suite 2700 1000 Washington Street, Suite 810 PO Box 30220 85 7th Place East, Suite 280 PO Box 79 Baltimore, MD 21202 Boston, MA 02118 Lansing, MI 48909 Saint Paul, MN 55101 Jackson, MS 39205 (800) 492-6116 (877) 563-4467 (877) 999-6442 (651) 539-1500 (800) 562-2957 http://insurance.maryland.gov https://www.mass.gov www.michigan.gov/ofir https://mn.gov/commerce www.mid.state.ms.us Missouri Montana Nebraska Nevada New Hampshire PO Box 690 840 Helena Ave. PO Box 95087 1818 E. College Pkwy., Suite 103 21 South Fruit Street, Suite 14 Jefferson City, MO 65102 Helena, MT 59601 Lincoln, NE 68509 Carson City, NV 89706 Concord, NH 03301 (800) 726-7390 (800) 332-6148 (877) 564-7323 (888) 872-3234 (800) 852-3416 www.insurance.mo.gov https://csimt.gov www.doi.nebraska.gov https://doi.nv.gov www.nh.gov/insurance New Jersey New Mexico New York North Carolina North Dakota 20 West State Street 1120 Paseo De Peralta One State Street 1201 Mail Service Center 600 E. Boulevard Ave., 5th Floor PO Box 325 Santa Fe, New Mexico 87501 New York, NY 10004 Raleigh, NC 27699 Bismarck, ND 58505 Trenton, NJ 08625 (855) 427-5674 (800) 342-3736 (855) 408-1212 (701) 328-2440 (800) 446-7467 www.osi.state.nm.us www.dfs.ny.gov www.ncdoi.gov https://www.insurance.nd.gov www.state.nj.us/dobi/index.html Ohio Oklahoma Oregon Pennsylvania Puerto Rico 50 W. Town Street, Suite 300 400 NE 50th Street PO Box 14480 1326 Strawberry Square 361 Calle Calaf Columbus, OH 43215 Oklahoma City, Oklahoma 73105-1816 Salem, OR 97309 Harrisburg, PA 17120 PO Box 195415 (800) 686-1526 (800) 522-0071 (888) 877-4894 (877) 881-6388 San Juan, Puerto Rico 00919 www.insurance.ohio.gov https://www.oid.ok.gov http://dfr.oregon.gov www.insurance.pa.gov (787) 304-8686 English: https://ocs.pr.gov/English Spanish: https://ocs.pr.gov Rhode Island South Carolina South Dakota Tennessee Texas 1511 Pontiac Avenue, Building 69-2 PO Box 100105 124 South Euclid Avenue, 500 James Robertson Pkwy. PO Box 12030 Cranston, RI 02920 Columbia, SC 29202 2nd Floor Nashville, TN 37243 Austin, TX 78711-2030 (401) 462-9500 (803) 737-6180 Pierre, SD 57501 (800) 342-4029 (800) 578-4677 https://www.dbr.ri.gov/divisions/insurance www.doi.sc.gov (605) 773-3563 www.tn.gov/commerce/insurance www.tdi.texas.gov https://dlr.sd.gov/insurance Utah Vermont Virginia Virgin Islands Washington 4315 S. 2700 W., Suite 2300 89 Main Street Bureau of Insurance - SCC For St. Croix PO Box 40255 Taylorsville, Utah 84129 Montpelier, VT 05620-3101 PO Box 1157 1131 King Street, 3rd Floor, Suite 101 Olympia, WA 98504 (800) 439-3805 (833) 337-4685 Richmond, VA 23218 Christiansted, St. Croix, VI 00820 (800) 562-6900 www.insurance.utah.gov https://dfr.vermont.gov (800) 552-7945 (340) 773-6449 www.insurance.wa.gov www.scc.virginia.gov/boi https://ltg.gov.vi West Virginia Wisconsin Wyoming PO Box 50540 PO Box 7873 106 East 6th Avenue For St. Thomas/St. John Charleston, WV 25305 Madison, WI 53707 Cheyenne, WY 82002 5049 Kongens Gade (888) 879-9842 (800) 236-8517 (800) 438-5768 St. Thomas, Virgin Islands 00802 www.wvinsurance.gov www.oci.wi.gov https://doi.wyo.gov (340) 774-2991 https://ltg.gov.vi The issuance of this notice is not the admission of the existence of any insurance nor does it recognize the validity of any claim and is without prejudice to the company’s legal rights with respect to the insurance. Page 8 of 9 LMS-613500 Revised 10/2023